PATRICK JARED BUCKLEY MD
NPI 1659015899
Student in an Organized Health Care Education/Training Program in Detroit, MI

Q: What is Patrick Buckley's NPI number?

The NPI number for Patrick Buckley is 1659015899. It was assigned to this individual provider in the NPPES registry on April 25, 2022.

Q: What is Patrick Buckley's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Patrick Buckley was last updated on April 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 25, 2022PECOS Enrolled

2799 W GRAND BLVD, DETROIT, MI 48202(313) 916-2600(313) 916-0475 Get Directions Write a Review

NPPES record last updated: April 25, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Patrick Jared Buckley Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PATRICK JARED BUCKLEY MD (NPI 1659015899) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659015899

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NamePATRICK JARED BUCKLEYCredential: MD

Location Address2799 W GRAND BLVDDetroit, MI 48202-2608

Mailing Address2799 W Grand BlvdDetroit, MI 48202-2689 · (313) 916-2600 · Fax (313) 916-0475

Phone(313) 916-2600

Fax(313) 916-0475

Sole ProprietorNo

Enumeration DateApril 25, 2022

NPPES CertifiedApril 25, 2022

✔ NPI 1659015899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2799 W GRAND BLVD, Detroit, MI 48202

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Patrick Jared Buckley Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Leave this field empty

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HENRY FORD HOSPITAL

General Acute Care Hospital